X-ray exam entire spi 4/5 vw at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$117.81
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$484.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$64.37 with AETNA vs $467.54 with HORIZON — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $64.37 | ↓ -45% |
| HORIZON | MANAGED MEDICAID | $84.65 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $87.12 | ↓ -26% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.10 | ↓ -21% |
| AMERIHEALTH | LOCAL HMO | $97.47 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $98.26 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $100.19 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| AETNA | HMO | $140.56 | ↑ +19% |
| AETNA | PPO | $140.56 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $154.14 | ↑ +31% |
| CIGNA | PPO | $222.08 | ↑ +89% |
| CIGNA | HMO | $222.08 | ↑ +89% |
| QUALCARE | WORKERS COMP | $267.17 | ↑ +127% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $290.40 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| QUALCARE | PPO | $348.96 | ↑ +196% |
| QUALCARE | HMO | $348.96 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $363.00 | ↑ +208% |
| HORIZON | OMNIA | $369.78 | ↑ +214% |
| HORIZON | PIP | $374.62 | ↑ +218% |
| HORIZON | WORKERS COMP | $377.23 | ↑ +220% |
| AETNA | ASA | $378.97 | ↑ +222% |
| CIGNA | BH | $387.20 | ↑ +229% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $387.20 | ↑ +229% |
| HORIZON | INDEMNITY | $406.71 | ↑ +245% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $411.40 | ↑ +249% |
| HORIZON | SHP | $451.57 | ↑ +283% |
| HORIZON | HMO | $455.93 | ↑ +287% |
| HORIZON | PPO | $467.54 | ↑ +297% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam entire spi 4/5 vw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.54 | $41.39 – $324.60 |
| Community Medical Center | Toms River | $179.60 | $61.70 – $324.60 |
| Childrens Specialized Hospital | Mountainside | $234.00 | $37.62 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $199.55 | $42.61 – $324.60 |
| Jersey City Medical Center | Jersey City | $179.95 | $53.57 – $324.60 |
| Monmouth Medical Center | Long Branch | $189.48 | $61.70 – $324.60 |
| Bayshore Medical Center | Holmdel | $117.70 | $93.10 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $55.93 – $336.99 |